value-based reimbursement

Trend to watch: Payer-provider joint venturesJoint ventures are gaining steam as health plans and providers look for new ways to work together.
One insurer proves that value-based reimbursement works in practiceHumana’s value-based reimbursement model with physicians has helped to improve care quality and health outcomes for its Medicare Advantage (MA) program members.
Fed up providers pursue provider-sponsored health plansA recent survey suggests suggest a lack of access to appropriate commercial payer arrangements is causing health systems to explore alternatives.
Integrated pharmacy model improves adherence, reduces costsStudy shows that an integrated pharmacy approach with community mental health centers produces higher adherence rates and lower overall healthcare costs.
CMS releases first CJR bundled payment results: What to knowCMS just released the first Comprehensive Care for Joint Replacement (CJR) data feed. Find out what the preliminary results show.
Launching a provider-sponsored health plan: 5 things to knowAs health systems and physician groups marshal resources to launch their own plans, they must consider whether they have the necessary building blocks to successfully make the leap, how integrated a model they will pursue and whether they will build, buy or partner strategy.
Survey reveals 3 value-based payment trends to watchThe transition to value-based payment has accelerated rapidly over the past two years, and payers and providers predict even more dramatic changes.
Three strategies for health execs navigating valueHealthcare organizations are looking for new ways to engage consumers, streamline information sharing and transparency and collaborate with other industry stakeholders. As a result, healthcare stakeholders need to focus on three key strategies.
Five strategies that drive higher value careDoug Chaet, senior vice president, Provider Networks and Value-Based Solutions at Independence Blue Cross, shares five strategies that can help providers succeed in value-based reimbursement models.
Value-based reimbursement readiness: 3 critical questionsHere are three questions payers must ask to determine providers’ readiness to engage in risk-based reimbursement.